1 10/2007 Institut Pasteur de Nouvelle- Calédonie Response to pandemic (H1N1) 2009 New Caledonia’s experience Dr Ann-Claire GOURINAT Institut Pasteur de Nouvelle-Calédonie National Influenza Centre
Jan 03, 2016
1 10/2007 Institut Pasteur de Nouvelle-Calédonie
Response to pandemic (H1N1) 2009New Caledonia’s experience
Dr Ann-Claire GOURINAT
Institut Pasteur de Nouvelle-Calédonie
National Influenza Centre
Institut Pasteur de Nouvelle-Calédonie
New Caledonian influenza particular background
• French territory located in the Pacific, 230 000 inhabitants
• Regularly confronted with the south hemisphere seasonal influenza epidemic (june-august)
• NC regularly confronted with the north hemisphere seasonal influenza epidemic (december-february)
• Many exchanges with Autralia and NZ
Institut Pasteur de Nouvelle-Calédonie
Health authorities strategie and evolution of the (H1N1) pandemia:
- Airport screening (thermal camera)
- Symptomatic travellers : isolation / laboratory investigation
- Exposed travellers : self health monitoring and illness reporting
May June July August
26 June :- First positive case (NZ traveller)- isolation + oseltamivir- prophylaxis for contact- cruise ship sreening !
13 July :- First community case in Noumea- isolation home/hotel + oseltamivir- opening Influenza treatment centre (2)-
- First school closure- ICU cases
- Absenteeism workplace (mother stay home to look after childs)- Stop school closure- Oseltamivir prescription:
. GP
. Risk factors, severe cases
- End of airport screening
Institut Pasteur de Nouvelle-Calédonie
Data on pandemic (H1N1) 2009 as at 14 August
Pandemic (H1N1) 2009 cases
0
20
40
60
80
100
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33*
mai juin juillet août
semaines
no
mb
re d
e ca
s
CL
CLCI
imp10/ 07/ 09
(fi n sem 28) :
prélèvts chez
seulement certains cas
liés aux voyages et
certains cas
communautaires
02/ 05/ 09
(sem 18) :
début prélèvts chez
tous les cas possibles
(cas liés aux voyages)
Pa
• 311 cases (H1N1) pandemic confirmed :
• 45 imported : 28 Australia, 14 NZ, 1 Philippines, 1 Fidji, 1 de French Polynesia
• 10 cases related to imported (CLCI)
• 250 community cases (CL)
• 409 negatives with 24 A seasonnal flu (H3N2/H1N1)
720 Samples tested from May 2009 (CDC’s RT-PCR) :
Institut Pasteur de Nouvelle-Calédonie
Organization of the Sentinel Network and Flu Center treatment (FCT)
IPNCIPNC- FCT and Hospital samples : RT-PCR - Sentinel centers and pediatrics
samples : RT-PCR and IF (A and B influenza, RSV, ADV, PIV3)
- - ITC (2 in Noumea located near the main hospitals)- sentinel centers :
Nouméa : 1South-NC: 3 North-NC: 4Loyalty Islands: 3
- Hospital
SamplesMTV +/- swabs
WHO Collaborating WHO Collaborating Centre for ReferenceCentre for Reference
and Research on and Research on InfluenzaInfluenza
Positive (H1N1) pandemic and seasonal A influenza specimens
Data : - Health authorities (DASS NC) - FluNet
- - Wallis and FutunaWallis and Futuna
Ethanol preserved samples